| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
10,835 |
8,734 |
$551K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
3,571 |
3,024 |
$130K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,593 |
1,506 |
$127K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,434 |
1,333 |
$115K |
| 87811 |
Infectious agent antigen detection by immunoassay; SARS-CoV-2 (COVID-19) |
2,737 |
2,192 |
$100K |
| 94640 |
Pressurized or nonpressurized inhalation treatment for acute airway obstruction |
2,645 |
2,393 |
$91K |
| 87804 |
Infectious agent antigen detection by immunoassay; Influenza, each type |
6,452 |
2,980 |
$87K |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
4,237 |
3,865 |
$85K |
| J3300 |
Injection, triamcinolone acetonide, preservative free, 1 mg |
818 |
756 |
$74K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
900 |
861 |
$70K |
| 99050 |
|
4,060 |
3,448 |
$58K |
| 99000 |
|
5,638 |
4,992 |
$56K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
602 |
568 |
$50K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
4,736 |
2,029 |
$49K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
3,617 |
3,352 |
$49K |
| 84443 |
Thyroid stimulating hormone (TSH) |
3,527 |
3,280 |
$47K |
| 92553 |
|
1,452 |
1,376 |
$44K |
| 99429 |
|
925 |
857 |
$29K |
| 99215 |
Prolong outpt/office vis |
330 |
316 |
$26K |
| 96365 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour |
397 |
377 |
$23K |
| 86318 |
|
1,416 |
1,261 |
$22K |
| 82977 |
|
3,708 |
3,444 |
$21K |
| 82150 |
|
3,727 |
3,457 |
$19K |
| 84460 |
|
3,732 |
3,467 |
$16K |
| 84075 |
|
3,713 |
3,459 |
$15K |
| 82310 |
|
3,724 |
3,475 |
$15K |
| 82565 |
|
3,724 |
3,460 |
$15K |
| 84450 |
|
3,696 |
3,410 |
$15K |
| 82040 |
|
3,840 |
3,499 |
$15K |
| 82247 |
|
3,701 |
3,438 |
$15K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
1,647 |
1,240 |
$13K |
| 84550 |
|
3,718 |
3,398 |
$13K |
| 84520 |
|
3,745 |
3,480 |
$12K |
| 82947 |
|
3,755 |
3,489 |
$12K |
| 84155 |
|
3,707 |
3,440 |
$11K |
| 86308 |
|
2,284 |
2,067 |
$9K |
| 96366 |
Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour |
383 |
367 |
$8K |
| 96375 |
Therapeutic injection; each additional sequential IV push |
314 |
303 |
$7K |
| 69210 |
|
140 |
130 |
$6K |
| 97802 |
|
2,140 |
1,931 |
$5K |
| 81002 |
|
1,485 |
1,288 |
$4K |
| 99383 |
|
45 |
43 |
$4K |
| 99401 |
|
1,986 |
1,809 |
$4K |
| 99382 |
|
38 |
37 |
$3K |
| 96160 |
|
1,461 |
1,398 |
$2K |
| J1200 |
Injection, diphenhydramine hcl, up to 50 mg |
2,062 |
1,931 |
$2K |
| J0696 |
Injection, ceftriaxone sodium, per 250 mg |
2,224 |
2,094 |
$2K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
12 |
12 |
$933.00 |
| J1100 |
Injection, dexamethasone sodium phosphate, 1 mg |
2,933 |
2,706 |
$924.10 |
| J7613 |
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg |
2,576 |
2,327 |
$791.56 |
| 90688 |
|
1,014 |
958 |
$647.43 |
| 81025 |
|
85 |
73 |
$535.02 |
| J7040 |
Infusion, normal saline solution, sterile (500 ml = 1 unit) |
241 |
229 |
$404.00 |
| 83605 |
|
34 |
34 |
$330.48 |
| 83655 |
|
13 |
13 |
$146.90 |
| 82374 |
|
34 |
34 |
$139.40 |
| 84295 |
|
34 |
34 |
$137.36 |
| 84132 |
|
34 |
34 |
$136.00 |
| 36410 |
|
29 |
26 |
$55.00 |
| J7050 |
Infusion, normal saline solution, 250 cc |
14 |
14 |
$16.50 |
| 36415 |
Collection of venous blood by venipuncture |
3,607 |
3,323 |
$0.00 |
| 83735 |
|
33 |
30 |
$0.00 |
| 90651 |
|
271 |
259 |
$0.00 |
| 36416 |
|
59 |
44 |
$0.00 |
| 90620 |
|
30 |
25 |
$0.00 |
| J7609 |
Albuterol, inhalation solution, compounded product, administered through dme, unit dose, 1 mg |
12 |
12 |
$0.00 |
| 82438 |
|
33 |
30 |
$0.00 |
| 90700 |
|
72 |
68 |
$0.00 |
| 90734 |
|
66 |
65 |
$0.00 |
| 90715 |
|
33 |
32 |
$0.00 |
| 90707 |
|
12 |
12 |
$0.00 |
| 90713 |
|
15 |
15 |
$0.00 |
| 84100 |
|
33 |
30 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |
| 90649 |
|
16 |
13 |
$0.00 |